ESA Webinar series on COVID-19: 1st Episode
ESA Academy. Prof. Dr. Marcelo Gama de Abreu, Prof. Dr. Ilona Bobek, Prof. Dr. Paolo Pelosi, Prof. Dr. Giacomo Grasselli & Dr. Hua Zheng . 03/26/20; 290505 Topic: Respiration and Airway Management
 Prof. Dr. Marcelo Gama de Abreu, Prof. Dr. Ilona Bobek, Prof. Dr. Paolo Pelosi, Prof. Dr. Giacomo Grasselli & Dr. Hua Zheng
Prof. Dr. Marcelo Gama de Abreu, Prof. Dr. Ilona Bobek, Prof. Dr. Paolo Pelosi, Prof. Dr. Giacomo Grasselli & Dr. Hua Zheng
Contributions Biography
About this activity
Learning Objectives
Abstract
Summary: ESA webinar on Covid-19.
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.


Host Prof. Dr. Ilona Bobek, of the Department of Anaesthesiology and Intensive Care Medicine, Budapest, Hungary introduced a distinguished panel of experts: Prof. Dr. Giacomo Grasselli from Lombardy, Italy, Dr. Hua Zheng from Wuhan, P.R. China, Prof. Dr. Paolo Pelosi, from Genoa, Italy, and  ​Prof. Dr. Marcelo Gama de Abreu, from Dresden, Germany.

Dr. Graselli began the webinar by giving an overview of how COVID-19 spread in the northern region of Italy, as well as the similarities that occurred in Wuhan, China. In particular, how the epidemiological curve of seasonal flu symptoms suggested that COVID-19 may have been in circulation before the identification of patient-one.  This conclusion was reinforced by the fact that the day after Patient-one was identified on February 20, 36 people without any relation of patient-one were also identified.  

Dr. Graselli continued by discussing how the first response in the region was to free up ICU beds and postpone all elective surgeries. However, even with the reorganization of the hospital network as well as converting ICU’s of other disciplines to COVID-19 ICUs, Dr. Graselli feared that this might not be enough.

The key points of Dr. Graselii’s discussion was that we could expect a massive mismatch between the ICU capacity and the patients requiring the ICUs. Furthermore, increasing ICU capacity and establishing a network of dedicated COVID-19 ICU’s to optimize patient allocation and isolation is of utmost importance. Finally, the training of Healthcare professionals in the proper use of personal protective equipment and protocols for triage and treatment of COVID-19 patients is essential.

Questions from the audience followed. Dr. Grasselli was asked to reflect on his experience with dealing with the COVID-19 outbreak in Italy. There were numerous questions to Dr. Hua Zheng regarding precautions and recommendations for anesthesiologists, and what anesthesia is recommended for patients during this pandemic. Dr. Zhen reinforced the message the anesthesiologists are at a higher risk of contracting COVID-19 due to the procedures they undertake, as well as the importance of following strict protocols, not only during these procedures but after.

Dr. Paolo Pelosi followed the question period by discussing the pathophysiology of COVID-19. He explained that there are three different phenotypes of the disease based on CT scans and that COVID-19 is not a homogeneous disease. He further discussed pharmacological agents that were being used at his center, monitoring of patients and was asked about treatment of patients after extubation.

Dr. Marcelo Gama de Abreu discussed the situation in Germany and how the country learned from what occurred in Italy and China and is still preparing for the increase in COVID-19 cases. Although Germany has the highest number of ICU beds in Europe, there is a fear that this will not be enough to face the pandemic and countries must apply measures, such as avoid social contact, in order not to exceed ICU capacity. Furthermore, specialists must be recruited from other disciplines, and medical students can be utilized as first care and triage personnel.

When asked to explain Germany’s low mortality rate, Dr. Gama de Abreu explained that Germany tests much more and, therefore, can dilute the number of severe cases. Finally, Dr. Gama de Abreu talked about where to focus as institutions prepare for the worst. When asked about research, he explained that non-essential research is not possible, as resources are reallocated to where they are needed.

Finally, Dr. Bobek, asked the presenters to summarize their take-home messages, and this was followed by a final word of thanks from Dr. Gama de Abreu to all the speakers for sharing the knowledge and expertise.
This webinar will enable caregivers of patients with COVID-19 to:
  • Identify useful therapy approaches
  • Know the value of adjuvant therapies to mechanical ventilation
  • Have escalation and de-escalation plans

Practical skills to be acquired after attending this Webinar
The user can:
  • Triage patients according to the severity of symptoms
  • Minimize the risk of contamination during intubation and mechanical ventilation
  • Apply the most promising respiratory and non-respiratory therapies on time

Affective skills acquired after attending to this Webinar
The user is aware of:
  • Standard therapy plans
  • Safe care procedures
  • Value of teamwork
  • Optimize care and prevent burnout
Scientific Faculty
Scientific Faculty Leader:
​Prof. Dr. Marcelo Gama de Abreu
Department of Anesthesiology and Intensive Care
University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany

Host:
Prof. Dr. Ilona Bobek
Department of Anaesthesiology and Intensive Care Medicine, Budapest, Hungary

​Speakers:
Prof. Dr. Paolo Pelosi  
Professor of Anaesthesiology and Intensive Care Medicine, Genoa, Italy

Prof. Dr. Giacomo Grasselli
Associate Professor of Anesthesiology at the University of Milan - Medical Director of the ICU at the Ospedale Maggiore Policlinico, Coordinator of the network of ICUs in Lombardy, Italy

Dr. Hua Zheng
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China

Scientific Support:
Prof. Dr. Marcelo Gama de Abreu
Department of Anesthesiology and Intensive Care
University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany

Target Audience
All caregivers involved in anesthesia, intensive care and critical emergency medicine, including physicians and non-physicians

Key points of this webinar
  • Treatment of COVID-19 is empirical, but there are multiple approaches 
  • Experts from the countries with the most  experience with such patients
  • Colleagues from those countries can help to select the most appropriate approaches
Technical Settings
This webinar is available on PC, Tablet and Smartphone. For the best viewing experience, a high-speed internet connection is required

Organised by
ESA
ESA eLearning committee
Scientific Faculty
Scientific Faculty Leader:
​Prof. Dr. Marcelo Gama de Abreu
Department of Anesthesiology and Intensive Care
University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany

Host:
Prof. Dr. Ilona Bobek
Department of Anaesthesiology and Intensive Care Medicine, Budapest, Hungary

​Speakers:
Prof. Dr. Paolo Pelosi  
Professor of Anaesthesiology and Intensive Care Medicine, Genoa, Italy

Prof. Dr. Giacomo Grasselli
Associate Professor of Anesthesiology at the University of Milan - Medical Director of the ICU at the Ospedale Maggiore Policlinico, Coordinator of the network of ICUs in Lombardy, Italy

Dr. Hua Zheng
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China

Scientific Support:
Prof. Dr. Marcelo Gama de Abreu
Department of Anesthesiology and Intensive Care
University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany

Target Audience
All caregivers involved in anesthesia, intensive care and critical emergency medicine, including physicians and non-physicians

Key points of this webinar
  • Treatment of COVID-19 is empirical, but there are multiple approaches 
  • Experts from the countries with the most  experience with such patients
  • Colleagues from those countries can help to select the most appropriate approaches
Technical Settings
This webinar is available on PC, Tablet and Smartphone. For the best viewing experience, a high-speed internet connection is required

Organised by
ESA
ESA eLearning committee

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